See our online intake process below...
Please complete our online intake form using the link provided.
Before submitting your application, please review the following instructions:
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Complete all fields marked with an asterisk (*). All other fields are optional.
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Be sure to include both a valid phone number and email address so we can contact you.
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Select the program you are requesting:
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A. Rotational Shelter
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B. Prevention Rental Assistance
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C. Diversion Move-In Assistance
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Please note:
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Our Intake Coordinator will contact you within 48 hours of receiving your completed application.
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Completing an intake application does not guarantee funding or placement in our shelter program.
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Financial assistance through our Prevention and Diversion programs is a one-time service.
We look forward to the opportunity to serve you and your family!




